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What causes tingling sensation in my limbs while coughing? | Patient: Hi, I am a 60 yr old female and my legs and left arm tingle, prickle when I cough moderately. Afterwards, my arm and left hip ache for awhile. I am on medication for high blood pressure, have spondylitis between my shoulder blades with 3 discs between shoulder blades slightly wedged. One was found to be fractured a year or so back. I am 5 7 tall, overweight at 16 1/2 stone (due to not being able to walk very far as I had a grade 3 fracture to my ankle in 2003). I am now on Zoloft and Rani2. Are the feelings I have in my legs and arm anything to worry about do you think. They only started about a week ago? Regards, Jenny Doctor: Hi jenny,See vigorously coughing could lead to increased intra thoracic pressure which ultimately lead to dropped blood output from heart leads to your symptoms.Rule otu the causes for coughing and get done treatment for same | 74,911 |
Suggest treatment for osteoporosis | Patient: I have osteoporosis and I had a fall recently and have a couple of fractures in my back and I have been taking Magnesium but I have only been taking 100Mg daily but recently I started taking 200mg supplement of Magnesium citrate, but I noticed that my regular vitamins have 100mg in it I was wondering if I should continue taking the 200mg. Doctor: Dear patient only magnesium is not enough to treat osteoporosis. Tab calcium 500 mg three times a day with tab vitamin d3 60000 units once a week for 6 weeks should be given. Bisphonates preparation like alendronate once a week should also be take. In severe osteoporosis injection teriperatide is very helpful. please consult expert orthopedic surgeon nearby you for detailed assessment and treatment. | 128,477 |
Will i get pregnant after taking Microgestin yesterday? | Patient: I took my first birth control pill for the month yesterday, and I ve had unprotected sex today. I ve been taking Microgestin FE 1/20 tablets for about three months and this is the fourth month that I m starting. Will I get pregnant or am I protected from being pregnant? Doctor: Hi dear Microgestin is a birth control pill and contains two hormones estrogen and progesterone which regultes the cycle apart from this it prevents ovulation and stops the sperm entry and fertilization..so there are very less chance of you getting pregnant however I advise if you Missouri period by more than 2 weeks than do UPT ,blood hcg levels and USG for confirmatory findings and then you can decide weather you want to Continue or notHope this will help youThanks and regardsDr.Sohil Takodara | 223,944 |
What are the side effects of loprin and progesterone? | Patient: Hi, I am six weeks pregnant (2nd pregnancy) my doctor has advised me to use loprin and progestrone on the basis of my 1st pregnancy during which i had experienced spotting between 8-12 weeks. Please advise me whether it is harmless for me to use loprin and progestrone? Doctor: HiProgesterone is a normal female hormone that maintains pregnancy. Progesterone deficiency can cause spotting and hence you have been prescribed the drug.Low dose aspirin has been prescribed in some pregnancy to reduce the risk of pre eclampsia(raised blood pressure in pregnancy).High doses should definitely be avoided.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | 83,908 |
What causes pimple like lump beside scrotum? | Patient: HI, I HAVE A SMALL LUMP ON THE RIGHT SIDE OF THE SCROTOM NOT ATTACHED TO MY TESTICLE, I HAD TESTICULA CANCER 6 YEARS AGO AND HAD THE RIGHT TESTICLE REMOVED, I DID SHAVE THE AREA FOR THE FIRST TIME IN MANY YEARS SO I DONT KNOW IF IT MAY BE RELATED TO AN INGROWN HAIR, IT FEELS HARD BUT DOES NOT HURT AND LOOKS LIKE A HARD PIMPLE.ANY SUGGESTIONS? Doctor: not to worry much as this is benign condition like sebaceous cyst or as you mentioned, an ingrown hair!if really worries you can go for an FNAC test for confirmationall the best! | 66,837 |
Suffering from dormant hepatitis with no symptoms. What medications can be given? | Patient: Dear Dr Grief, a good friend of mine was told that he has dormant hepatitis, but he wasnot told if it is A,B, or C.The Doc (brazil) is now going to give Veni some "pills" with no info on the meds. Now, I guess they operate a little differently than in our USA,but can you shed a little light on this. Veni has no symptoms. Thank you, Diana Doctor: HI, thanks for using healthcare magicLatent hepatitis most commonly occurs with hepatitis B or C. Hepatitis A does not normally cause chronic infection.It can lead to permanent liver damage in some persons and it is also rarely associated with a risk of liver cancer.There are criteria for determining who would benefit from treatment of this condition and it is possible that his doctors, based on examination and lab test results, have determined that he fits the criteria.If he is unsure about the treatment, he should consider discussing his concerns with his doctors.I hope this helps | 57,497 |
Suggest treatment for chest pain | Patient: I have a pain in my chest/lower esophagus. It hurts when I breath, drink any kind of liquid, and eat. I play softball, and recently had a root canal and have been taking antibiotics. Every time I take the antibiotics it hurts my throat and puts a stinging in my chest. I get dizzy often, and feel drained of energy some days even when I ve had a full nights rest. Sometimes my chest will just start throbbing, and have sharp pains for no apparent reason. Doctor: Hello! Thank you for asking on HCM! Seems that your pain is extra-cardiac and I would recommend you first to exclude a digestive disorders. So you should consult with an internist or gastroenterologist; to perform a careful physical exam and some blood tests and eventually some imagine studies. For the moment you could try any PPIs such as omeprasol or pantoprasol, etc. Just go and have a medical check up.Hope to have been helpful to you. greetings! Dr. Iliri | 28,392 |
What is the treatment for erection problems? | Patient: hi docotr, i feel a small hard particle in the left part of my penis neck during the irrection. i feel no pain and have no problem in sex perfomance. but i am worried about this particle. it is too small and very hard. i has been for more than one year i have felt and it is in the same size till now. what should i do? Doctor: Hi, The hard particle can be due to a wart caused by viral infection, you can rule out for the conformation. then only treatment can be suggested. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | 193,071 |
Suggest treatment for HPV 1 virus | Patient: I had a Leep procedure done a year ago because my pap smears kept testing abnormal. I have since had a normal pap. However, I believe my boyfriend of 3 years has the HPV1 virus. Prior to being with him I never had an abnormal pap. I m wondering if my abnormal pap was a result of him giving me the virus. He continues to get cold sores on the outside of his mouth. They look like the images on google for HPV1 herpes virus. I want to ask him if he has it or knew that he had it, but that s a sensitive topic. My concern is I most likely have it now and does this mean he will keep giving the virus to me and I will have abnormal paps again? Will I have to keep getting the leep procedure down the road because he can keep giving it to me? Can my kids get it if they drink from our drinks and etc.? Doctor: Hi,I am so sorry to hear about this abnormal pap smear that you have reported. Herpes has no relationship with abnormal pap smear. What causes abnormal pap smear is HPV(human papilloma virus) This causes warts and not cold sores. You may be concerned about the sores and herpes but this has no relationship with abnormal paps. Also, remember to take great care of yourself especially protection during intercourse.I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. | 36,914 |
What causes pain in right breast with stabbing pain while breathing? | Patient: Over the last few months, I had pain in my right breast most of the time, including sharp, stabbing pains when breathing. This last week my right armpit has a few lumps and now the area above my right collarbone is very very sore to where I can barely lift or move, or lay down Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So apply warm water pad on affected areas.Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Take simple painkiller like paracetamol or ibuprofen. You will mostly improve with all these. If you still don't improve, get done chest x ray and ecg to rule out lung and heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 74,190 |
What is the treatment for uncontrolled tremors ? | Patient: i have really uncontrollable tremors this has happened three time each time was due to rejection when a relationship has ended or on the verge of...please help Doctor: Hi,Troy, Thanks for query, You have not mentioned your age. I think it may be due to anxiety or nervousness. Go for sex removing stress and fear. If it persists for long time, consult your doctor. Go for blood sugar. Ok and bye. | 213,717 |
Is doctor consultation required for being around with a child with MRSA? | Patient: Yes my grandchildren were around a child that might have MRSA. This happened today. We aren t sure if we should be alarmed, because we didn t know about it until my daughter took the child home. We also have a 3mo. old here at the house,so we really need to know if we need to take them to a doctor? Doctor: thank you for using healthcare magic.it would depend if any one of you develop symptoms. If you have a strong immune system, you probably won't develop anything. But if you develop any symptom after contact (fever, cough, etc.), better consult with ur doctor and don't forget to tell them about the MRSA so as to give you the proper medication.sincerely,Mark Rosario MDgeneral pediatric / pediatric Pulmonology | 179,873 |
Will emergency contraceptive be effective if taken with 'tetralysal'? | Patient: I had unproteted sex on 20th, 21st and 22nd April. I took emergency pill on the afternoon of the 22nd. I am sure /i ovulated on the 20th because I can feel when and which side i ovulated on each month. I suffer from rosacea and have taken one tetralysal tablet each evening for the last 2 days (8 days post ovulation). I am worried that the pill may not have been effective, i have a lot of pregnanacy symptoms (rosacea, right side lower abdominal ache, general cramping and since the 23rd have had increasingly tender breasts with sensitive nipples). I'm now worried that if the pill hasn't worked, that my baby will have deformities because of the tetralysal. What is the liklihood of a) me being pregnant and b) my bay having deformities? Thank you Doctor: Welcome to healthcaremagic,Tetralysal belongs to tetracycline group of antibiotics which can effect the action of emergency pill. There is a chance that the emergency pill may fail. Tetralysal is not supposed to be taken by women who are pregnant as it may result in malformation of the fetus. I recommend you to wait for your next period. If you miss your next menstrual period do a urine pregnancy test. If it turns out to be positive visit your gynecologist who will take a detailed history and decide on the pregnancy.Hope that answers your question.Regards, Dr.Imaad. | 3,853 |
Does Instaflex cause increased blood pressure? | Patient: can anything in instaflex raise blood pressure like glucosamine or turmeric I have RAarth and I take methotrexate advil for osteo arth want to drop the advil and take this for inflamation and pain I am 72 and still very active hope this is good news thanks Dianne in tx Doctor: Hello! Thank you for asking on HCM!Regarding your concern i would explain that Instaflex is generally safe except for one of its ingredients, that is Cayenne pepper that may influence blood pressure and contribute to high BP. Nevertheless, when taking that medication you should consult your prescribing doctor and perform frequent check up to assure that your blood pressure has not been influenced so much. If high blood pressure is a persistent finding, then you have to modulate your anti-hypertensive therapy in order to appropriately manage your BP values. Just keep in touch with your doctor.Hope to have been helpful to you. Greetings! Dr. Iliri | 28,387 |
What causes tender legs and arms in a 9 year old? | Patient: My 9 yr old son has been complaining of tender legs and today he said it was under his arm. Tonight he is complaining of nausea and a stomach ache. We have been home from a vacation about 10 days where we swam in a lake, and was in a highly wooded area. He did have bits on his back when we came home.....they have disappeared now. Concerned this could be a reaction. Doctor: Hi...by what you quote it could just be a fatigue also after a good swim, which is causing this pains. Nausea and stomach ache could be due to the insect bites (unknown). I don't think this is a allergic or anaphylactic reaction, which usually will be catastrophic and very fast progressive.Regards - Dr. Sumanth | 180,265 |
Is kidney pain a side effect of HCG diet? | Patient: I have had dialysis in the past and have always had kidney problems as well as gall bladder issues--recently I started taking HCG liquid supplements for weight loss and have been experiencing kidney pain.When I stopped the HCG drops, the pain stopped-- could the HCG have caused the pain? Doctor: Hello and welcome to HCM. As an Urologist, i can understand your anxiety.Kindly avoid any more HCG drops,without informing your nephrologist.For weight loss,why're you taking HCG drops.? Why the weight loss.?First ensure your Hb,creatinine,RBS,LFT and electrolytes are normal.You should see a nephrologist or Urologist,with these reports and also an Ultrasound scan-KUB.According to the reports,an expert advice can be given.You may also send the reports here to me,as a direct question.Dr.Matthew J. Mangat. | 46,491 |
What could cause sudden rashes on forelimbs that subsided after washing? | Patient: Today and on Wednesday while at school, my 11 year old daughter developed a sudden rash. It is on the back of her hands and on her arms up to her elbow. It looks like leopard print pattern. It was itchy at first but when she washed with soap it stopped itching but stayed red. It has faded a lot but is still slightly red now. Perhaps never completely went away since yesterday but was worse while she was at school. No known allergies and she says she was just sitting at her desk when the rash started yesterday and when it came back today. No other symptoms. She has an albuterol inhaler she hasn't needed to use in several weeks, no other medications. Doctor: Hi, Thanks for writing to health care magic. From that description given by you it seems like skin allergy. Her usage of inhaler also provides a evidence for the same. But there could be other causes as well. Please consult your doctor for a physical examination. He will order certain investigations depending on the physical examination findings. Further treatment depends on the diagnosis made. If a diagnosis of skin allergy is made then your doctor may advise antihistaminics.Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty,M.D.(Pediatrics)Associate Professor,Pediatrics. | 102,377 |
Suggest treatment for knee pain | Patient: Hi. I am 16 years old and my knee has been hurting since i was about 12 years old. Back then it was only hurting when it was touched, then it started just aching whenever i bent it, which started half a year ago. Then just this morning, i was walking around my house, and it just started hurting whenever i put weight on it. I am scared to do physical activity because i think i might injure it. I am 6 foot one inch and still growing, so could it just be my body getting used to my height as i am growing, or is it something serious i should be concerned about. I am very athletic, and do 3 sports, so my knee is very important to me. please write back Doctor: Hi, As mentioned in the history you are into sports every now and then did you develop any injury of the knee in any of the sports? Because if any injury occurred it needs to physically examined and an MRI knee is suggested to see if any soft tissue injury is happening. For time being, until you meet up and orthopedist or take a call for MRI I would suggest you try knee muscle strengthening exercises and also reverse walking. Focus the exercises more over the knee muscles . Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 124,219 |
Could heavy workout lead to high blood pressure? | Patient: Hi, I am 30 years old female with good BMI and no BP history. Over the past 6 months I started going to gm and last 2 weeks I worked out more than usual.Now when I checked my BP it is 160/ 90. Is it very unusual. Would it be due to over working out as I had nos symptoms. Doctor: Madam you have no history of any hypertension and diabetes .Your blood pressure keeps on changing whole days as per your activities and hormonal response.Please check your BP thrice a day in resting and sitting position and then only you can come to a conclusion whether you have Hypertension or not .If your BP is more then 140/90 mmHg as median average then you need lifestyle modifications and may be medications.Do not check you BP post Excercise it will definitely show high readings. | 21,468 |
Suggest treatment for frequent vomiting | Patient: My 1 year old has been vomiting since 7 this am. Every 30 mins. Her vomit sort of smells like poop ? Not sure if it s just a really bad smell as she s never really vomited since she was an infant she will take fluids and throws up a small amount every half hour. I have an apt for her to see the doctor this afternoon , should we go to emergency ? Doctor: Hi,To avoid dehydration you should start oral rehydration solution 5 tea spoons for every pound of her weight. You can give a zofran injection that will stop the vomiting immediately.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman | 166,691 |
What causes pain in the kidney with blood in the urine? | Patient: my boyfriend has been c/o pain in his neck for about a week and then while working out he had a slight pain in his chest with a pulse of 134 and a blood pressure of 143/92 then after two days he has now woke up with slight kidney pain and voiding yellow urine with stringy blood in it what in the world could this be and what should be done? Doctor: HelloThanks for query.Your boyfriend seems to have pain in chest ,loin and blood in urine (Hematuria).This is most likely to be due to presence of stone either in kidney or Ureter.He need to consult qualified Urologist for evaluation and get following basic tests done to confirm the diagnosis .1) Routine urine test and urine culture 2) Ultrasound Scanning of the abdomen and pelvis.Ask him to take antibiotics and pain killers .Further treatment will be decided by concerned Urologist and will depnd upon the results of these test and final diagnosis,Dr.Patil. | 48,174 |
What causes fatigue,dry cough and a flushed face? | Patient: My husband, who is 52, has not been feeling well for a few weeks. It started as stomach upset and diarrhea due to work-related stress. It has calmed down with large doses of Pepto tablets. Now he has a general feeling of sickness. He starts in the morning feeling somewhat okay, but by 11 or 12, he feels fatigued, he has a dry cough in his chest, feels cold, but he becomes very flushed from cheeks down to the base of his neck. He has not shown a temperature, but continues to feel unwell. He s sleeping more, although many evenings his sleep is fitful. Any thoughts as to what is going on? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility either lower respiratory tract infection (LRTI) or bronchitis is more. Because in both these conditions dry cough, fatiguability, cold feeling etc are seen. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test). Chest x ray is needed to rule out LRTI. PFT is must for the diagnosis of bronchitis. He may need antibiotics, antihistamines and anti inflammatory drugs. Inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, he will be alright. First diagnose himself and than start appropriate treatment. Hope I have solved your query. Wishing good health to your husband. Thanks. | 78,314 |
Suggest treatment for lower abdominal pain and back pain | Patient: I m 75 yrs. old, or young and have just developed lower abdominal pain (dull ache) and lower back pain(dull). What could cause this? 3 days a week I do floor work excerises and lying on my back I lift my feet and toes as high as I can using both hands to support the lower back. I then, in a very controlled movement lower my toes (with legs straight) far beyond my head. Could I have twisted the intestines in such a way as to cause pain? Know that I have done this same exercise for several years and never had problems. This pain has been with me for about 1 1/2 weeks. Doctor: Hi,from history it seems that your problem might be due to constipation which is responsible for lower abdominal pain and some discs degenerative changes in lumbo-sacral spines giving backache.go for x-ray lumbo-sacral region.Continue with exercises of pelvic floor and back extension exercises are doing.Take calcium and Vitamin A and D supplements.Take plenty of water.Ok and take care. | 88,160 |
Suggest treatment for infection caused by harpic toilet cleaner | Patient: i get infection from harpic toilet cleaner after smelling it . when i smell it i did not know that it is a stain of harpic toilet cleaner. i feel all sine of cold from 2 days like headach, etc. please suggest me it will not show longterm symptomps? or for how many days . i have taken crosin (parasitamol) 2 times. Doctor: HI, thanks for using healthcare magicAllergic reactions can occur as a result of contact with any chemical agent including this cleaner.The length of time the reaction would persist would depend on its severity, treatment used and re exposure to the agent.When you are exposed, the use of an anti histamine would help to reduce symptoms quickly. These should be available over the counter at your local pharmacy.Examples are benadryl, allegra, aerius, claritine, zyrtecI hope this helps | 100,904 |
Suggest means to handle syncope | Patient: My 16 year old daughter was experiencing daily syncope episodes, weight gain, considerable hair loss, ringingin her ear, burning nipples, very pale coloring, lack of concentration, fatigue, sensitivity to motion, pain and noise.Her world has completely stopped...please help Doctor: HiThanks for using healthcare magicIn think, she has underline depression with anemia. Fatigue, lack of concentration, sensitive to motion would go towards depression and hair loos, pale color, syncope episode would go towards depression. Better to get her hemoglobin checked and consult a psychiatrist for proper consultation. In case, you need further help, you can ask.Thanks | 209,962 |
Suggest treatment for back pain | Patient: While working out yesterday I tweaked my back while doing 3' box jumps. Several months ago I hurt my back lifting a very large patient at work and was diagnosed with a displaced sacrum. This injury feels the same but worse. Lower back pain while walking up right. I am a Firefighter/Paramedic so I went to our city physician this morning but he is gone until next week. A city nurse did some voltage treatment but that really didn't help. Is there any stretches or anything I can do until next week? Doctor: As its so severe, it can be a slipped/prolapsed disc.In my clinic, I usually advice X-ray to confirm diagnosis & advice bed rest for few days with non-steroidal anti-inflammatory drugs like ibuprofen, opioid pain killers like tramadol.You can start these with drs advice.Hope this information is satisfactory to you. | 111,087 |
What are the chances of getting pregnant without penetration? | Patient: Yesterday my boyfriend and I were just fooling around, and he discharged in my panty. My panty was wet when I came home. I don t think it went in my vagina but just to make sure i wanted to ask, is there any possibility of me being pregnant? :/ I have a backache and a headache. And a nauseous feeling. Doctor: Hello dear,I understand your concern.In my opinion the chances of pregnancy are rare in your case.The first sign of pregnancy is missed period.And other pregnancy symptoms like nausea,vomitings,,increased urination start 2 weeks after missed period.So it is too early to feel any pregnancy symptoms.And if at all the period is delayed consider doing a urine pregnancy test a week after missed period.Avoid stress as pregnancy is unlikely.Relax and wait for the period.Best regards... | 221,487 |
Unexplainable feelings while taking head bath, divert mind, difficult to control in dreams. Remedy? | Patient: While taking bath, especially while during head bath, I get into some extreme feelings(unable to explain), which may resulted in epilepsy ( fits ). I am feeling very tough to control this and use to divert from that feeling, by singing or thinking office activities etc. But, if same feeling comes in dreams, i cannot control. How to come out of this... Doctor: DearWelcome to HCMWe understand your concernsI went through your problem description. I suggest not to worry. You copuld have mentioned your age.You are unable to explain the feeling and you never had epilepsy and you suspect it might lead to epilepsy. That may be cause of your unexplained feelings. Please don't worry about diseases which you do not have. Don't imagine that you are having those diseases which actually you don't have. that is dangerous and may lead to mental troubles.Change the position of your bathing and use warm water for taking bath. That should cure your problem.Hope this clears your doubts. Available for further clarificationsGood luck. | 149,367 |
Uterus cancer, done with radiations, has throat pain, MRI showed ulcers in stomach causing bleeding in motions due to radiations. Suggestion? | Patient: sir my mother suffered uterus cancer ... she got operated in april 2011 an went for radiations an kemo therapy after that for further treatment . since thn we have taken her for regular check ups an MRI :s after 6 months as recommended by the doctor . MRI:s reported that raiations has caused ulcers in her stomach and which causes her bleeding in motion ... and their after every month a disese cumes to her .... since last week she is getting throat pain , sum kind of pain in the throat whn she speaks or takes tension for any reason .. doctor please suggest some useful remedies for my mother Doctor: Your mother is suffering from radiation induced gastric ulcers which are a common occurrence after radiation. The same get aggravated by stress and lead to regurgitation and throat pain. She needs to take Tab. Pantoprazole 20mg twice daily and Syp. Mucaine gel 2 teaspoonful thrice daily. That should relieve her symptoms. At the same time, some useful precautions include avoiding spicy food, coffee, tea, mint, chocolate. Eating food 2 hours before going to bed and elevating the head end of the bed will help further. If her anxiety is excessive and persistent, it would be advisable to add an anti-anxiety drug (Tab. Alprax 0.5mg at bedtime). | 158,024 |
What causes itchy bumps on chest, head and neck? | Patient: I started having an itchy head and neck a few days ago. My little 2 years old got a rash on her chest exam the same time and started itching her head and neck too. The only thing that had changed was that I had hired a babysitter who has a dog black lap, brittany spaniel mix, and the girl used to work in army. Now after a few days I feel itchy bumps in my scalp and neck and my daughter itches her head and neck skin too. I also see a small red rash behind her ear. Doctor: Pediculosis causes these type of symptoms.It is an ectoparasite lice feeds on blood.It can cause itching and local lymphadenopathy. | 175,901 |
What causes persistent pain in the chest? | Patient: Hi. I am 59 years old, and there is a family history of heart disease/cancer. For about the last 3 hours I have had this pain in my chest on the left side. It does not go away with activity. I have been to the ER a couple of times for the same feeling. Once they dismissed it as TMJ, and another time felt that this was all in my head as I am a recipient of mental health care. That said, I am afraid to say anything for fear I will not be taken seriously. So what do I do about the pain? How do I treat it? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Chest pain should never be overlooked and should always be evaluated. Chest pain has a lot of causes, common being due to heart disease, muscle pain or chostochondritis. To rule out the most important cause that is cardiac cause, you need to do at least a stress echo or TMT. If that is negative the cardiac cause is out and you can just take pain killers for the chest pain.Hope I have answered your query. Let me know if I can assist you further.Thanks,Dr. Sameer Maheshwari | 22,658 |
What could cause delay in conceiving with periods being normal? | Patient: My husband and i have been trying to conceive for over a year. i have tried things such as different positions due to my cervix being tilted downward, and ive traced my ovulation dates, im well aware when i am ovulating, i pay close attention to my body,… however my periods are right on each month, does that mean i have a healthy cycle? As far as eggs are concerned? im beginning to think that i cant have a baby. Doctor: Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries. Also a semen analysis of your partner should be done. if everything is fine, you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo | 1,689 |
What causes panic attacks with the feeling of non existence? | Patient: Hi, im not sure if you are the right person to ask but i didnt know what category to put this under and i really had to ask somebody about it. My girlfriend has these "panic attack" type things where she freaks out and thinks that she may not exist. Its not exactly a panic attack but she starts crying and freaking out needing reassurance and getting really upset. It only happens at night when she is laying in bed and she loses sleep over it, it has been happening more frequently lately. What could be the reasons behind this and is there any way i can help? She is 15 years old, if that is relevant. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 206,189 |
What causes trouble reaching orgasm during intercourse? | Patient: Dear sir, i am 33 yrs old man height 6 0 feet, and weight 85kg, my name is md saleem for our marriage its already passed 1.6 years and we are trying for the baby my problem is when i intercoarse with my wife i wont feel ejaculation and my siems analysis test is normel my wife report also same normel but sir by hand maturbating i feel better than intercoarse i dont no what is problem please solve my problem thank u sir i hope you answer my question. Doctor: Hi thanks for contacting HCM...You are having erectile dysfunction problem...Rule out high blood pressure as hypertension can be leading factor ....Check your diabetics by random blood sugar .Per rectal examination done for rule out prostatic enlargement case ....If you are obese loose weight ...Avoid smoking and alcohol..Avoid stress....If you are using thiazide diuretic like drug then this can occurs...Fore play more ...Do sex in comfortable position....Regular exercise done...Take care | 197,401 |
Tested HepC positive, worsening conditions. Are there any problems with the interferon treatment ? | Patient: Yes, PLEASE! I am hearing so many different opinions on Interferon treatment! Me & my husband both found out we were hep c positive about 8 months ago! My condition/symptoms are fairly worse than my husbands! My doctor wants me & my husband to start interferon! We have our first appointment tomorrow w/gastro. dr. but now I have mixed emotions on what I should do! HELP!!!!!! Doctor: hithank you for the querymadamyou need not panic about interferon therapy in HEP c positive cases..interferon and pegylated interferon therapy has succecful in clearing the viral load in hep c cases...it is currently practiced drug to treat acute HEP c infections..any how you need to get full educated about that drug before you start on it..so get complete details about various side effects and proceed..as of now you need not panic to get started on interferon therapythank you hope I have answered your query | 58,581 |
What does a lump in the upper abdomen indicate? | Patient: Hi I have a lump in the upper part of my abdomen ... I have had pancreatitis a few years ago and had my gall bladder out afterwards . The lump is uncomfortable when pressure is applied , but it is not visible unless I am bent over . That is how I found it ... I was exercising doing stomach scrunges . I have kept an eye on it , but it has become uncomfortable lately . So decided to do some symptom hunting on the internet . Kinda tired of the bloated belly and feeling lousy every morning . Thanks for your help .Donna Watson ... my email is .... YYYY@YYYY Doctor: Hello dear Donna Watson , hiWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There are different possible conditions as - subcutaneous lipoma - hernia - others * Needs evaluation with the ultrasound examination to confirm the diagnosis and decide further line of action .Wishing you fine recovery .Feel free to ask any further doubts .Regards . | 61,198 |
What causes behavioral changes after heart surgery? | Patient: My brother in law has had 2 atrial fib heart ops in a year. 1st time they cleared the top part of the heart the 2nd they did the bottom part of the heart. Since then he appears a changed man, depressed, drinking, abusive to my sister, blaming, forgetful. He is taking a cocktail of 6 pills a day. The relationship is suffering and my sister is confused and unsure what to do. Doctor: Your observations are extremely important not only to you and your sister but to your brother in law. Many heart procedures, even those that are not as invasive as an open surgical procedure may produce psychiatric problems, most commonly depression. In addition, many rhythm control medications may worsen these problems. Open and honest discussion with him, if possible, may offer him the opportunity to seek help (so many patients already realize that something is wrong but are ashamed to admit it). The best resource in addition to that is a discussion with your primary care doctor or a provider who has known him for some time and can look from "outside" of procedures and new medications to help plan testing, if necessary, and treatment. | 24,899 |
Have a sensitive skin. Very dry. Get rashes on the face. Bumps on face. Using neobet cream helps. When stopped it reappears. Treatment | Patient: Hii ... dis is noorie ...I hav a very sensitive skin .. nd its very dry as well .. I don't know actually whats wrong .. I often get rashes in my face .. they r too itchy .. Sometimes there r bumps all over my face .. I hate it ... I need a solution .. I consulted a dermatologist .. 2 years ago .. he prescribed me neobet cream .. whenever i use it d bumps in my face and all the rashes disappear .. my skin feels fresh ,nd moisturised ... bt if i stop using it even for a day .. d bumps and rashes reappear .. I need a permanent solution to this .. can you help ?? coz i can't always depend upon the cream for making me look beautiful ... Doctor: Hello as u said urs is a sensitive skin .rule out thyroid disease and atopy.try to apply moisterising cream twice daily.bumps are due to urticaria.use a antihistamine to be free ftom bumps.use zyndet bar for bath | 15,463 |
Is it necessary to take ASMA test when treated for autoimmune hepatitis for two years? | Patient: I was on medication for autoimmune hepatitis for the last 2.5 years. Fortunately I don t use any pills now but my doctor asked me to have blood exam every 3 or 4 months to control it. As the lab which took my last exam didn t have ASMA (blood exam), I don t know how important it is to take ASMA at this point and whether it can be omitted this time? Though I searched a lot, I wonder what caused this disease? Is it even preventable? Thanks in advance for your time & consideration. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Since you have already been diagnosed as a case of autoimmune hepatitis and has been on medicine for that since last 2.5 yrs, there is no need for ASMA test at this point of time.It is an autoimmune disease in which there is dysregulation of our own immune system leading to abnormal activity of immune cells that is our own protective cells become hostile to one of our own organ cells.It can't be preventedI hope I have answered your query and this will help you . Wish you a good health | 55,374 |
Suggest remedy for constipation in 15 months old | Patient: Dr..my daughter is fifteen mnths old and she is suffering from constipation since last ten days. I use similac advance 2 formula along with other solid foods.I cant see her pain any more plz help me with ur suggestions. And also let me know whether I can start with Amul Gold tetra pack milk in her diet. Doctor: Hi You did not mention from when she has constipation.Similar 2 has extra Ron and may cause constipation in some kids.Try all natural means like more water.fluids.juices greens high fibre diets etc .Good luck Dr Uma | 171,516 |
What causes bruises on the arms while on Aspirin? | Patient: my daughter just did a 14 hour flight and she had some bruising on her arms from blood test etc s she had a suspected heart attack, she seems to think she has more bruising since her flight, she is on asprin and 2 other blood thinners, cause this be the cause of extra bruising Doctor: HIWell come to HCMI really appreciate your concern, I had gone through the history given, and I could say that the blood thinner can cause the bruising but it is easy distinguished the bruises due to trauma and the subcutaneous due to blood thinner or aspirin, it is very light brown spot seen while in case of trauma bruises could be deep seated, and dark in color and darkness increased with the time, hope this information helps. | 19,894 |
How to treat swelling and burning sensation of gall bladder? | Patient: My gallbladder is swollen on the right side of my stomach, and it also burns. It's been hurting like this for months now, but recently it's gotten more intense. How do I know if it is bad enough to go to the ER? I don't have a job or insurance to pay, which is why I've waited, but I can't take much more pain. Doctor: Hi and welcome to Healthcaremagic. I understand your concerns.You simply must see a surgeon and do relevat tests to rule out acute cholecystitis which may be serious gallbladder inflammation. In some case even some more serious conditions may be present and include tumors or biliary duct obstruction so this is not something to take such a risk. I strongly suggest to do CT scan and check liver markers as soon as possible. Then further steps can be planned.I hope I have answered you queryKindly regards. Wish you a good health. | 53,180 |
What to do for the swelling in the ankle due to a hit? | Patient: I was hit with a sofball on the inside of my ankle two days ago (bottom of leg bone). It hurt immediatly but I figured I just bruised it. After playing softball tonight it is now swollen, tingling, hurts to move and put weight on. Could it be fractured? Doctor: Hi there. Thanks for your question at HCM.Rest, Analgesics, Ice and bandage application usually help relieve the pain and swelling associated with ankle injuries.However if the pain still persists 48 hours after injury, which gets aggravated on standing or walking, it needs further evaluation. I would suggest you to be seen by a physician in person since your pain still persists. Based on the examination an X ray may be required to rule out fractures. It is also top be noted that a severe soft tissue injury ( ligaments and muscles) can cause pain as severe as pain associated with a fracture.Hope this helps. All the best. Regards. Dr.SBK | 136,033 |
What cause pain in shin when pressure is put on it? | Patient: I have severe pain in my shins when any pressure is put on them, ie, my six pound cat steps on my shins and it causes excruciating pain. This has been continuous as long as I can remember and is getting worse as I get older. I have no discoloration, no swelling, no varicose viens. I am however overweight and have knee, joint problems, as well as two herniated disks, the last lumbar and the first sacral vertebral discs. Doctor: Hi,Thank you for providing the brief history of you.As you have issues with knee joint, herniated discs etc, you need a thorough neuromuscular assessment. As the pain applied due to pressure is related to your neuropathic pain and needs attention.Due to muscle weakness, any pressure applied on the area can lead to pain and aches. Also, shin is the area where it is more of a skinny region and only the fascia is present. Undergoing a physical therapy for your knee joint and herniated disc should help you regain the full functional mobility.RegardsJay Indravadan Patel | 133,637 |
What causes loss of interest in studies and carrier? | Patient: Sir, My son age 19 yrs, a bright 12 th class student in Jan 2009, faced a bike accident, fell on forehead, no external injury but forehead swelled. Loss memory for a few days. Consulted a neurologist at that time, he examined CT scan. He did not tell of any serious problem. My son wanted to take Pre Medical Test but the doctor advised to opt for easier courses. My son insisted on taking PMT. He passed 12th with good marks. Now seems very sad, orientation and motivation to studies and career has been lost. Forgets whatever he studies. Is it depression or the accident is showing up its effect after several months. What should I do. Doctor: Hi,I read your query and can understand your concern regarding your son. Head injury with concussion can cause symptoms even after a few months. However, in your son's case, it is very difficult to delineate the cause of depressive symptoms to be as an after effect of head injury from an independent depressive episode. I would also recommend getting a fresh MRI-brain done, to rule out ant brain injury. If the MRI comes out to be normal, it is very less likely that the symptoms are due to head injury.In any case, you son would need treatment with anti-depressants like escitalopram.You should seek a psychiatric consultation for your son for initiating proper treatment.Hope this information was helpful. Best wishes. | 209,167 |
What causes fatigue and chills post a failed dental work? | Patient: I have been struggling with failed root canal for 3 years. I had a root canal 8 years ago that failed then discovered it 3 years ago at that time the endodontist told me 5 files had been left in my canal. He did a retreat then I had root canal surgery and another tooth needed a root canal .the.following year I have another root canal on the complete other s idea of mouth meanwhile my health has been declined drastically I feel tired all the time body aches chills fatigue. This past October I notice a small pimple on the gum line under the tooth that had the root canal surgery. .I let it go until I could not get our of bed so in January I had to have the toothed extract and have another root canal on a new tooth lowered back moler.I have not been able to get well the tooth is still hurting lymph notes swollen been on ciprfloxacin since dec .still sick do they switch me to cipro.no luck jaw hurts pain in ear so bad..help in can t take anymore Doctor: Greetings from healthcare magic members,I have understood the reason of your worry and concern. Teeth when infected can cause lymph nodes to swell which is a body defense mechanism to combat against various pathogenic organisms. Root canal therapy is performed when the central tissue (pulp) of tooth gets infected. The most common reasons for infection are deep cavities, poor oral hygiene, cracked tooth, failed or leaky restorations/fillings. If the infection is left untreated, it can cause gum boil or pus formation and if severe can lead to other symptoms such as fever, intense pain and abscess formation over the entire affected area.It is unfortunate that you had history of multiple root canal failures which could be because of incomplete eradication of infection by your dentist, incomplete visits or non compliance at your side, anatomical reasons or re-infection due to improper oral hygiene. Whatever the reasons were, It is now recommended that you maintain proper oral hygiene. Brush your teeth after every meal and don’t forget about flossing to clean the interdental areas which are inaccessible. Take out time to visit a good dentist and get your complete and thorough dental checkups done. Medications like antibiotics will help in solving the problem temporarily but it will not eradicate the root problem. Hence, i would recommend you to visit your dentist as soon as possible.Hope this answer is helpful. In case of any further questions, please do not hesitate to ask meBest Regards,Dr. Khoja | 181,140 |
What causes a lump underneath the skin of the thigh? | Patient: Today I found a lump on my inner thigh. It wasn t discolored and there wasn t a head on it. I felt it and there was a ball underneath my skin about the size of a silver dollar. It just felt like a heat rash more than anything but no heat coming off of it. I squeezed it pretty tight and clear liquid and blood shot out. I got everything I could out until it was nothing but blood. I ve had Cellulitis before, but this doesn t look like it. I could be wrong. I need to know if this is serious enough to see a doctor. Doctor: hi.based from your description, it could be a cystic formation. if it is bothering you, increasing in size, or gets infected, it is best if you consult with a doctor, preferably a general surgeon for physical examination and clinical evaluation. diagnostics will be requested as needed. definitive management is excision of the cystic lesion.hope this helps.good day!!~dr.kaye | 61,728 |
What causes elevated liver enzymes? | Patient: I have always had normal AST and ALT reading and recently had a big jump up from normal to AST42 / ALT 40 in September to 58/88 in November and now 226/354 and 199/297 in two recent December tests. I had pneumonia following a trip to Turkey in July and have tested negative for hepatitis. Any ideas on why this sudden jump? Everything else is normal except high thyroglobulin antibodies. I also take 40mg of lisinopril daily and have a history of allergies and allergy induced migranes when I took allergy shots. Doctor: Hello. Thanks for putting your query in HCM.I can understand your concerns. Elevated liver enzymes suggest liver cell injury.There are many causes for elevation of liver enzymes like alcohol intake, Hepatitis B and C virus, wilson disease, autoimmune liver disease and drug induced. In your case it may be drug induced. For pneumonia I assume you have taken some antibiotics, lisinopril itsef causes elevation of liver enzymes. So I will suggest you to visit a gastroenterologist for evaluation and appropriate managementI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. | 55,450 |
Suggest treatment for kidney stones | Patient: was diagnosed with 2 stones in left kideney of around 5 6mm and a stone at vesicular junction which i think has been removed in my urine day before yest.also a simple cortical cyst in my right kidney?i hv to go to a foreign country fr a week wat shud i do for the stones in my kidney and y it sometimes a pain little bit even after the vesicular junction stone is removed? Doctor: Hrlloyou dont need to worry about hhe cyst because cysts r found commonly in many healthy people n dont cause any harm...for stones,as ur stones r of very small size they can be removed by medicines n u dont need surgery fir it | 48,534 |
Suggest effectiveness of shots for eye allergy | Patient: I have a eye problem that i think is due to allergies so i get weekly shots in hopes of getting rid of this 5 years puffy, droopy, painful eye problems that was recommended by my allergist. How effective are these shots? Will it help with my eye issue? Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would like to know more details about your eye symptoms and how allergies were diagnosed.2. Allergic conjunctivitis/rhinoconjunctivitis responds better to allergy shots (immunotherapy). Usual symptoms are eye itching, lacrimation, redness, etc.3. Swelling around eyes, if due to allergic angioedema, may respond to allergy shots.4. However, most of the eye allergies do not have eye pain. So I would like to know what is the cause of painful eyes.5. It requires very detailed information about your problems, previous treatments, investigations, etc to make more specific suggestions.Hope above information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | 99,618 |
Lower back pain, spotting, irregular periods. Have contraceptive implant. Pain related to SPD in pregnancy? | Patient: I have been having quite bad lower back pain, in the pelvis region for close to 3 weeks now.. I have had constant spotting between periods and they have been very irregular. I have had the contraceptive implant put in about 10 months ago.. I have previously had cin2 but had lettz procedure to remove it and several smears which have come back black although i am overdue one now. I had severe spd in both my pregnancies so im wondering could the pain be related to this. Or my biggest fear is they are cancer symptoms. I am an otherwise healthy 34 year old female. Your opinion would be appreciated. Thank you. Doctor: Hello and welcome to HCM.Thank you for your query.I have gone through your query, and would like to start of by speaking about your SPD (symphysis pubis dysfunction). The only reason why most women are diagnosed with SPD during pregnancy is because the pelvis is directly involved with birth.But SPD can present in women who are not pregnant as well, this is mainly because SPD involves a misalignment of the pelvis, due to which it can put pressure on surrounding structures, especially the spinal cord, which is very sensitive and can easily result in pain (even severe at times).I highly doubt this could be related to cancer. But for your satisfaction, why don't you go ahead with an ultrasound of the pelvis and abdomen and a transvaginal ultrasound (TVS), which will help in superficial suspicion of any such abnormalities. You can also follow this up with an x-ray of the lumbar spine and pelvis, which will ensure that the position of your pelvis is what is causing your presentation.Do not worry, I can understand your anxiety, but once SPD is confirmed as the cause, wearing lumbar and pelvic support belts will surely help you, along with some help from a physiotherapist. Wishing you a symptom-free life.I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.healthcaremagic.com/doctors/dr-shoaib-khan/64581 . I would gladly help you.Best wishes. | 112,715 |
Taking birth control for PCOS. Had unprotected sex. Do I need to take Plan B? | Patient: HI, i m on birth control for my PCOS to help induce periods. Last monday I started my period during the seven day break and I missed the first pill of the new pack (though i did take it, but just late). Yesterday evening I had unprotected sex for a few minutes, but he did not ejaculate or was not close, but i cannot be sure that there was no pre-cum. However, I heard that pre-cum usually only contains sperm if the male has ejaculated without peeing in between and that was the first sex act we were involved in that day. Am i safe or do I need to take plan b? Doctor: Hi dear as ur menses started last week u r totally safe. Within 10 days of menses there is no chance of preg at all whether u take pill or not. So just relax there is no danger. Thank u | 226,305 |
Child having allergic rash with minimal itching. Rash present even after medication. How to remove it? | Patient: My granddaughter is 7 years old and has an allergic looking rash on both arms, cheeks and a little on her thighs. The itching is minimal, but partially due to the Benadryl I ve been giving her. She has a couple bug bites (look like misquito to me) on her upper thigh that she said she got last Friday or so. The rash started Sunday morning. I m giving her Benadryl oral and topical but it s still there. I will also say for about 2 weeks prior she has been carrying a mild fever , no energy. Also, She her mother and me & my husband just made a big move from NC to OH and she is now living with her mother only (which she has had me in her house since birth) and is missing her cousins a lot - maybe a little depressed..... Doctor: hi thanks for posting here,your grand child may be having atopic dermatitis and insect bite reaction.In my practice I prescribe emollients and a mild topical steroid like hydrocortisone cream. You can continue bendryl syp for a couple of weeks. Avoid harsh soaps.Keep the house dust free.Hope she will recover soon.Regardsdr shilpa bhatBangalore | 15,229 |
What are the ill effects of chewing an AA battery? | Patient: My 2&1/2 years old baby chewing AA battery regularly from his toys. He went to bed fine but suffering cold& cough every time & vomiting rarely....do I need to worry? He do all his daily routine work now but I not sure how much it will effect him in future.what I should do! ... please suggest Doctor: hello, thanks for your query, batteries contains nickel chemical, it's alkaline and toxic to body. kindly avoid sucking batteries. hope I have answerd your query. all the best. take care. | 178,175 |
Suggest treatment for mucus discharge while coughing and sneezing | Patient: i have quit smoking 3 months back after smoking 10-12 cigs for 27 years. I am still not completely free from the mucous that comes out when I sneeze or cough. A little not much. Doctor has prescribed Montek LC (Montelukast sodium and levocetrizine hydrochloride tablets) once at night. Pl advice. Doctor: If you have smoked for 27 years then it would be advisable to undergo lung function test to assess you lung capacity and if smoking has reduced it, which is the cause for your cough and mucus. Also it will help to put you on treatment . You might be having a allergic component as well. Consult a pulmonologist for the same. | 78,932 |
Will the saliva of the dog lead to sickness? | Patient: Hi can i ask something, i have 3 shots of rabipur vaccine, but when im eating my lunch i give my dog a slice of fish, then when i already gave it to him, the other side of fish is been licking by my dog, then i accidentally ate the fish., what will i do now im a little bit worry, i will return in hospital on march 26 to take my last shot of rabipur please reply asap Doctor: HiThere's nothing to worry about it. The fish piece licked by dog's saliva does not cause any harm or sickness. Take the last dose of Rabipur vaccine as scheduled. Avoid sharing foods with pet animals.Best wishes. | 31,135 |
What are the precautions to be taken before TMT test? | Patient: My Mother who is 50 yrs old is having BP 100/140.Doctor has observed unspecified changes in her ECG and has recomended TMT test. May I know the preprations or precautions to be taken before the test. She is also suffering from thyroid. Her angiography was already done in SG PGI Lucknow. Doctor: Hello,Exercise stress test (TMT) is a test used mostly to investigate suspected myocardial ischemia. Certain medication should be stopped before the test as they may give false results. -48 hours before the test beta blockers, calcium channel blockers and nitrates should be stopped. -24 hour before the test alcohol or caffeine-containing food or drinks should be stopped. Before 4 hours of the test stop eating, only water is allowed to drink.If she is taking other medications please consult with your doctor about them.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Malik | 18,835 |
What is the cause of pain in the back, chest and related sweating during nights? | Patient: sir My name is pramod 28yr old and when i slept and after 12 or 1 PM back side se dard hota hai or tab tak rehta hai jab tak mein jagta hoon dheere dheere chest mein hota hai & front pasli mein or day mein kuch nhi hota hai at night pasli or chest dawane par bhi dard hota hai kindly reply Doctor: If you think that the chest pain is hampering your routine activities then it would be advisable to consult a doctor for the same as you will require a detailed examination. | 78,973 |
How to find out date of conception? | Patient: My Baby not be mine me and my girlfriend based it off when we conceived a baby but she is showing early we got the date to January 30 2010 because it was the only time we had intercourse without protection she admitted she was with someone else a month before me so medically does this add up to be my child or should i get a DNA Test Doctor: HI, Thanks for the query. In case you had relations with the girl before Jan. 2010, & had sexual relations with barrier contraceptive... there is always possibility of leaking & conception may occur. So Best way to confirm/ exclude fraternity is DNA test & clear all doubts . Thanks. | 219,393 |
Is verorab vaccine and tetanus shot sufficient in case of a monkey bite? | Patient: A monkey bite my daughter hand in kualampur only a dot of blood comes out we went to the hospital after 7 hours the dr gave her one dose of verorab vaccine and tetanus and said that's enough is that right with simple bite with no pain.or we should seek another vaccination because this was 9 days ago. Doctor: Hello,Welcome to HCM,Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease but it is 100% preventable by proper and adequate treatment.As your daughter was bit by a monkey which has led to small amount of bleeding from the site of bite, according to WHO categorizes it has been categorized into Cat III.Cat III requires both active and passive immunization. Active immunization with antirabies vaccine like verorab on days 0,3,7,14 and 28. The passive immunization with rabies immunoglobulins should be given in and around the bite site as early as possible.The aforementioned treatment will protect you against developing the disease rabies.Thank you. | 39,743 |
What causes swollen leg and hand and vision problems? | Patient: my sister is having swollen left leg, swollen left hand and today she compalined that she cant see from one of her eye. this is going on from 2-3 days.....15 days ago her lipid profile said 252 cloresterol. mean while she had menses when she had over bleeding she took Pause tablet for it. please guide Doctor: hi,thank you for providing a brief history of your sister. it is sad to hear all this symptoms arised all of a sudden. Since she was under a medical special and taking medication the physician must have taken proper assessment. Getting menus in between must have disrupted things as per me. Kindly meet an internal medicine specialist and get self assessed . He might prescribe some diagnostic blood sample to under go. kindly go through all. Get checked with the opthalmologist as well once on a safer note if anything is wrong with the pupil anatomy & physiological. Once the clearance comes from an opthalmologist you should meet up a neurologist and you may advised to an MRI of the brain. which will give the clear picture of the vision problem.since you started the history with the swelling and vision problem. I am here more concerned about the vision that it is more important as per me.meeting up a physician will even guide you to under go Doppler scan to check if any issue with the veins and arteries. as the diagnostic reports will one by one done will be helpful to rule out certain doubts of the physician and coming close to the problem will be possibleyour sister shouldn't have taken a pill to stop the menus . as menstrual cycle is a normal physiological process and stopping it with the chemicals if not advised as it will lead to a terror in the body.I am still unsure if the pill what she consumed to stop the mensus has lead to this.but please go to physician and get self checked. it's not harmful to take experts advise. as without doing a proper examination and observation it will be difficult to just give some statement.I hope you will understand.with the grace of God I wish your sister a good health. | 134,302 |
What are the side effects of warfarin? | Patient: Have strange feeling over upper lip under nose. Not numbness , during the night, not all the time and sometimes during the day. At first thought alergic to new lipstick, but continuing. Could it be a side effect of warfarin ? Been on it for almost seven months Doctor: Hi, Warferin is an anticoagulant drug so its side effect is excess bleeding. It may cause unusual bruising such as: unexplained bruises that grow in size, nosebleeds, bleeding gums, excess bleeding from cuts that takes a long time to stop, bleeding in stools, black stools or in urine heavier and frequent menstrual or vaginal bleeding, bloody sputum etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician | 84,671 |
Suggest remedy for extreme pain and discomfort in penis | Patient: My 7 year old some will scream in pain every time he puts on a pair of underwear (except one pair). He says his penis hurts. It has gotten so bad that we had to restrain he because he is trying frantically to pull his penis off, because of the extreme discomfort. What can be done? Doctor: Thanks for consulting at Healthcare Magic.Penile pain can affect the base, shaft, head of the penis or foreskin. An itching, redness, discharge, burning, or throbbing sensation may accompany the pain which can help in diagnosis.Common causes of penile pain in kids are Balanitis, Urinary Tract Infection, Herpes Infection, Bladder Stones, Eczema of foreskin due to allergy, irritation etc.You need to consult pediatrician who will do detailed local examination to find out the exact cause. | 165,043 |
Can any online doctor help with the semen analysis? | Patient: I AM 35 years Male, i have been married since from 2008 ie, 4-years, but having no issue my sperm count is like this Reaction =Alkaline, Volume = 2.5 ml, Odour = Aeromatic, Total Sperm Count = 05 million/cumm, Mortality = 50%, Active = 40%, Sluggish = 10%, Dead = 50% Leucocytes = 8 -10/hpf. Please tell me about the above test what is ment by cumm unit is it equall to ml Doctor: hi cumm means for cubic millimeter which is the unit of volume measurement.total sperm count is very less which is called azoospermia ,total sperm count is 40-60 millions per cumm.and the dead sperms are very high it should be between 10 to 20 percent.and leukocytes are more indicates secondary infection which should be treated by antibiotics | 203,975 |
Does i-pill cause irregular periods? | Patient: Hi Doc! Am Moureen took an ipill within 4 hrs last week 4/8/2012. After 7 days i started bleeding i.e. 11/8/2012 to date some dark browinish-red blood!! My last period was on 26/7/2012 with a 33 average cycle so i was to get it by end of August. Please advise if this is my period if not where is this blood coming from? Doctor: Hi, Ipill contains high dose of hormones. After taking Ipill one can get irregular cycles for 2 months. Please take Ipill only in emergency. Taking it frequently is not advised. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Vivek Chail, Radiologist | 84,788 |
Suggest treatment rashes in patients with Crohn's Disease | Patient: Hi. I am a 34 year old female with Crohn's Disease. For the past couple weeks I have had a painful rash in the crease of my buttocks. It is only in the upper to middle part of the crease, not on the actual buttocks. It is not in the anal/rectal or vaginal area either. I have tried diaper rash cream, anti-fungal cream, and baby powder. Doctor: Hello,I read carefully your query and understand your concern. Intertrigo is a rash that forms in the folds of the skin. When skin rubs against skin, it causes friction and creates a warm, moist environment that is ideal for fungal and bacterial growth. Intertrigo is common in the skin between the buttocks.Intertrigo can be treated with barrier ointments, such as petrolatum (Vaseline) and zinc oxide (Desitin). Applying cotton compresses saturated with drying solution such as Burow's solution to the skin folds for 20 to 30 minutes several times a day can also help the rash heal.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | 12,812 |
Trying to conceive. Fetal is weak. On prolifen. No mature fallopin. Injected iui. Advise on the ovulation and on taking myfol? | Patient: Hi I am sana I have baby girl abt 5 and half year old last january I have expell of almost 3 months becoz fetal iz too weak.this month I consult dr she gave me conceving medicne named prolifen and call me ony my ovulation day that iz 29 of may she ultrasound but mature fallopin iz not seen. Now she inject me iui c5000 gave me myfol for one month and vitamin E too. I would like to know that it is possible after ovulation conceiving iz happen? Why dr give me myfol. Ans me urgent waiting for ur reply. Doctor: Hi Sana,Thanks for your question.Ovulation is necessary for a conception to occur. I donot know exact findings on your ultrasound so it is difficult for me to comment on your management. Myfol is folic acid which is a necessary vitamin & it is recommended that all pregnant women & those who are trying to conceive must take it. This approach is very helpful in reducing the incidence of some birth defects.Best of luck. | 5,178 |
What causes sharp pain in lower left lung and difficulty in exhaling? | Patient: I have a sharp pain in my lower left lung, around what seems to be the perimeter of the lung. It worsens when I lay down on my left side and I can't exhale without pain erupting. Last fall I was diagnosed with Pericardial Catch Syndrome. But now I think it may be something more. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of pleurisy is more. Pleurisy is inflammation of pleura. And it is seen mostly with lung infection. So we need to first rule out lung infection in your case. So get done clinical examination of respiratory system and chest x ray. You may need antibiotics, antihistamines and anti inflammatory drugs. Application of warm water pad on affected areas is also helpful. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 78,688 |
What are the symptoms to know that I have mono? | Patient: My daughter just found out yesterday that she has Mono, and Dr told her she probably has been contagious for over a week. I am feeling a bit tired at work, and do not feel great overall, but nothing really bad either. I m thinking that I m probably talking myself into feeling bad (psycho-sematic sp?) Is there an easy way to know if I have contracted it? Any obvious symptoms I should watch for? I know tiredness is a main symptom, but I usually do not get enough sleep anyway so not sure if I m tired more than usual. Are my co-workers at risk? Doctor: thanks for asking your questionI completely understand your prpblemyou want to know about infectious mononucleosis or also known as kissings disease.it is transmitted by salivamost of the adults have acquired immunity by the age of 40 yrsIn adolescence and young adulthood, the disease presents with a characteristic triad-fever,sore throat and enlarged glands.you can get yourself checked if u have all these symptoms .lastly yes your close co workers will be at risk if you have the disease.thanks /regardsfeel free to ask more queriesmay god bless you with good health | 79,789 |
Stomach pain, shortness of breath and frequent urination after a fall. MRI, blood test and colonoscopy reports normal | Patient: My dad fell at work about 7 months ago and shortly after that he starting complaint about severe stomach pain, so he went to the doctor (kaiser) and so far they have found nothing to be the cause of the pain, he has had an ultrasound , mri , bloodwork, and a colonoscopy . Also after walking a short distance he gets shortness of breath and when he urinates he thinks he s done and a minute later he still needs to go again. Doctor: Hello,Thanks for writing in.I suppose your dad is an elderly gentleman who had a fall 7 months back.In elderly men, the prostate gland often enlarges and creates a sensation of incomplete emptying of the bladder. It is located at the base of urinary bladder and when enlagred in size, causes obstruction to the outflow of urine.In such patiens, MRI, colonoscopy and rest of ultrasound findings can be normal.I suggest you get your dad to take another ultrasound keeing in mind the evaluation of prostate gland. Also pre void and post void urine volume is to be assessed.You can consult an urologist for further diagnosis and medication.Hope this helps. | 93,211 |
What could cause lack of concentration during studies? | Patient: my son is 9 years old and he is studying in the 5th standard. Reading ability is poor and not ablr to write properly his school notes. when he was born, the pediatrician gave a maturity score of 48 hours within 24 hours. kindly tell me what is wrong with my son? thank you Doctor: DearWelcome to HCMWe understand your concernsI went through your details. Reading and writing ability is a matter of training. These abilities tend to improve on practicing and practicing depends mainly on the motivation and sustained training. Some children may have the problem of learning disability, a condition giving rise to learning difficulties, especially when not associated with physical disability. Learning disabilities are neurologically-based processing problems. These processing problems can interfere with learning basic skills such as reading, writing and/or math. They can also interfere with higher level skills such as organization, time planning, abstract reasoning, long or short term memory and attention.If you strongly argue that the training provided to the child by the teachers and parents are up to the standard, then you could consult a psychologist for an assessment of learning disability. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | 170,347 |
Suggest treatment for sore knees | Patient: Hi doc, young son 4 years old is chesty, running nose, treating with ventolin and benelyn. However he is lathargic understandable if you are under the weather but my concern is that he wont stand up because he complains that his knees are sore? Thank you Doctor: this is not so common at this ageur child might have got hurt at school or some inflammation in knee which could be acquired just get his knee x ray done, if its normal get his ANA profile donethis is common after sore throat also Aso titre should be considered | 165,909 |
Should I be concerned about tingling and numbness in hands after surgery? | Patient: I dislocated my patella back in August 2013, and 3 weeks ago had surgery to correct it - I m having tingling and numbness in my hands and feet consistently since the surgery. It s not getting better, and in fact seems to be getting worse. The amount of time between numbness is getting less and less, and it s gone from tingling to almost 100% numb at times. I m due back at work in the next few weeks and have to be able to use my hands to type. Should I be concerned? Or is this something that may fix itself? Doctor: Hi. tingling and numbness in hands and feet is not related to patella surgery.This could be due to various causes like hypocalcemiairon and B12 deficiencyspinal cord diseasesYou need to be investigated and advised to meet with neurologist. Thanks | 143,798 |
Is pregnancy possible despite taking oral contraceptive? | Patient: I had an intercourse today,may be not an proper intercourse. my bf was using condom. But somehow it broke. he inserted his penis only for a few seconds and even when he felt like semen was coming he took out his penis. But after taken out, he noticed the condom broke. I took an I-pill within 1 hour. Do I have risk of being pregnant? I had my last period on 27th january. Doctor: The post coital pills are very effective if taken within one hour and there is very minimal risk of becoming pregnant(1-2 % only). By doing urine test for pregnancy after two weeks, You can know whether you became pregnant or not. | 224,098 |
Suggest remedy to relieve pain in wound from removing cores | Patient: Hi my name is Thelma Green. I have callouses on the bottom of both my feet. I ve had cores removed from them several times. The last time I had a very bad one removed from my left foot, it broke open a few days later. It bleeds sometime, but mostly just runs a lot. I keep anti-bacterial cream on it, and keep it covered. Home Health comes out 2 times a week and doctors it. They ordered pads with medicine on them for a while. This place has been open now for a couple of months. I try to keep my weight off it as much as I can, but it s hard since I am obese. No one can fell me why it is so painful. There is one spot on it that is so painful you can t touch it. There is a lot of pink skin around the hole that just won t grow over. I have been to the emergency room 2 times because it got so bad I nearly passed out when I stepped on it. One doctor ordered an MRI, and it showed that I have charcot foot . No one around here knows what to do for it. I am not diabetic. I would just like to know what to do to get the hole to grow together, and stop the pain from being so bad. Please help me if you can. Well you can just forget this question. You really ought to let people know that it cost, before you get their hopes up that you will help. I am on a very fixed income. I can not afford to pay anything. Doctor: This is usually a very difficult matter to treat. First checking nutrition, espeically vitamin D levels. THen, circulation and sensation in the area. Then, there is a lot that can be done for wound healing wiht local antibiotics, local coverings and growth factors and even hyperbaric oxygen. This would be something for a wound treatment center. | 216,376 |
What causes radiating lower back pain and nausea? | Patient: I am having lower back pain to my right side which is continuing into the front side of my hip area, I have not eaten in three days because I vomit everything up my lips are dry bloody and cracked and I find myself chocking on a extremely dry throat. I am wondering if I am dehydrated and should visit hospital to be rehydrated Doctor: Hi, welcome to health care magic. After going through your query my opinion is that you may have renal stones. Please take anti emetics ,analgesics and start taking fluids and ORS powder. Apply vaseline to your lips. Or it is much better to consult physician if your vomiting not stops.hope your query get solved. Welcome fot further queries. | 110,129 |
What does this brain MRI test result indicate? | Patient: 34y/o male with acute transverse myelitis(T2-conus) causing BLE paralysis, with brain mri that reads:No evidence of acute ischemic injury/pathologic postcontrast enhancement. couple of scattered punctate foci of subcortical&periventricular leukomalacia within the cerebral hemispheres, nonspecific Doctor: Hello,The MRI is stating that the cause of your bilateral lower extremity (BLE) paralysis (both legs paralyzed) is not because of anything going on in the brain. You have an essentially perfectly normal looking organ north of the neck that's good. What is causing the problem is inflammation (swelling) in the spinal cord which goes from the T2-Conus levels (large area from between your shoulder blades down about 18 to 20 cm). Depending upon the cause of this inflammation, things can get better but it could be a long process.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dariush Saghafi | 142,861 |
Suggest treatment for recurrent fever and ear pain after a flight journey | Patient: Good morning. Our 15 year old son traveled for a baseball tournament by plane this past weekend. He became ill and got a fever on the trip back home this past Monday. He has had a fever on and off since then. Yesterday he was complaining of ear pain in one of his ears early in the morning. it subsided. Now he is complaining this other ear is in extreme pain. Especially when he lays down. Is this an issue that requires immediate attention? Thank you. Doctor: Hello,In my opinion, your son should go to the doctor because the ear gives extreme pain and fever most of the cases due to an infection. So, in this case, you will need medication.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi | 163,302 |
What causes non stop crying of a 10 month baby? | Patient: My 10month old baby will not stop crying for me. If i put him down he cries and he will not go to anyone. This all started when he was 6 months old and I dont know what to do. He does not stop crying until he is picked up and his crying gets worst the longer he has to wait. I have to return back to work soon from my maternity leave and he is not weened and is always crying for me. Doctor: Hi,Welcome to healthcaremagic.com.I know that you are very concerned about your child but don’t worry.By what you quote, it seems that your child might be having pain abdomen and due to this he is comfortable in your lap.In my opinion, you should give cyclopam syrup 3.5 ml three times a day for 3 days and review after that.Sometimes, the child is ore sensitive for mother, this could also be the scenario. This type of scenario is difficult to deal with.I hope this will help you.Wishing your child good health.If you have any more questions, you can ask me athttp://doctor.healthcaremagic.com/doctors/dr-deepak-patel/70939If you do not have any further queries, you can close the discussion and rate the answer.Take care.Regards:Dr. Deepak Patel, MD Pediatrics | 169,439 |
Constant bruised feeling in back which never goes after mild car accident. No relief with physical therapy, chiropractor, massaging therapy bed. Pain in hips and buttocks. Why there is constant pain and how to rectify? | Patient: Yes. I had a mild car accident in march. I have since then went to physical therapy and after five times felt uncomfortable in the setting so I switched to chiropractor. I have had a constant bruised feeling in the center of my back that never goes away, even after being on a massaging therapy bed and adjustments. My lower l5 nerve has recently been causing me alot of shooting pain in my lower back and a constant but mild ache feeling in my hip and buttocks . Why and what is the constant bruise pain? I cant seem to really get an answer. Should I see a specialist? Orthopedic or Neuro?? Doctor: Hi welcome to HCMForum. it seems you had a minor injury of the back. as it is not attended in time you have started getting pressure symptoms. I advise you to consult an orthopedic surgeon for diagnosis | 113,783 |
What causes rash around bites in kids? | Patient: My daughter 5 years old had bites mostly on her legs and a few on her arm. This morning she woke up with a rash all over her legs and around the bites on her arm. Her twin who she shares a room with and older brother do not have any bites or rash. She had the bites starting about a week ago. Is the rash related or something else? Doctor: HiI understand your concerns but dont worry. It seems to be due to allergic response to insect bites. You may use antihistamine such as Chlorpheniramine or fexofenadine for relief. Ensure the beds are not infested by bed bugs or ants.Take care | 169,176 |
What causes swollen lymph nodes in groin area? | Patient: Hello, I've had a single swollen groin lymph node for four months. The node is small but painful and the back of my upper leg is painful as well. I had a doctor take a look at it and he said he did feel a chain of shoddy nodes. I'm worried that this could be lymphoma. The pain is hot and the back of my leg feels as though I've pulled a muscle although I haven't. Any help would be greatly appreciated. Doctor: Thanks to HCMIcan understand your problem don't worry ,swollen lymph nodes in groin region for long time due to chronic infection I would like to know wheather you used any antibiotics and analgesics just undergo once ultrasound in groin region it will suggest you the diagnosis .. once CBP, ESR TO BE done better .if above measures does not indicate anything have a biopsy once of that swollen lymphnodes don't worry use antibiotic and analgesic for 5 days it may show the improvement in your case . ok | 32,722 |
Suggest remedies to relieve pain in ribs and arms after falling down | Patient: Hi doctor, I fell down yesterday night and It was pretty bad, I got all bruised up all over my arms and I hurt my ribs in the back in my right side. Done my x-rays at the ER the doctor said no fractures no broken bones. However it hurt so much my ribs pop when I move, when I sit or stand or even move my right arm, also my right arm hurt so much it has limited movement. I m using anti-inflammatory gel (Reparil-Gel N) and pills ( Reparil-Dragees) since I was discharged this morning, it helped little but the pain is not reduced. What shall I do? Doctor: Hi, Since the problem is in the chest, we cannot immobilise it. However we can do quite a bit to relieve your pain. You can continue the gel, but take as little medication as possible. You can wear the right arm in a sling when not in use so that it gets a little rest to heal. Also apply ice for ten minutes every four hours to the painful ribs. After 48 hours of the injury, you can apply alternate ice and heat in that order ten minutes each every four hours. Follow this with the pain gel. This should help you, but it will still take 4-6 weeks for full healing. Regards | 216,464 |
Suggest medication for cough and chest congestion | Patient: Hi I have a chest congestion that I can t seem to get rid of and it causes coughing that results in a shortage of breath. I m not bringing up mucus and my breathing is much shallower than normal My doctor visited a 10 days ago said I had a virus and to rest and take fluids which I did Doctor: Hello dear, thanks for your question on HCM.I can understand your problem and situation.In my opinion, you are having bronchitis.It is common after partially treated viral upper respiratory tract infection (URTI).So better to consult pulmonologist and get done1. Chest x ray2. PFT (pulmonary function test).Chest x ray is needed to rule out lung infection as a cause.PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only.So better to consult pulmonologist and first diagnose your problem and then start appropriate treatment. | 80,972 |
What causes bruises on the rib cage of a child? | Patient: hi I have a 3 year old and 2 days ago he had which looked like scratches and a bruise below his rib cage and it went away the next day , at first I thought that the cat scratched him but it wasn t a scratch it was flat with no bump and it went away the next day and now another one appeared on his arm what could this be Doctor: Hi dearIf there is no history of any local trauma and the lesions are not itchy, this may either indicate thrombocytopenia or rash if an evolving systemic illness like viral infection.Let him have enough rest and fluids. Kindly take him to your doctor.Take care.Thank you. | 175,008 |
Suggest treatment for bump inside cheek | Patient: Hi, i have a small white lump just smaller than the size of a pea on the inside of my cheek? Its not painful and i dont really know its there until i run my tongue over it. Its quite hard and sometimes gets in the way of things, and ive never noticed it before, any ideas on what it is? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have some tumour in cheek or some other lesion. You should go for biopsy of that lump. It can be squamous cell carcinoma or hyperkeratosis lesion. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 64,636 |
What are the side effects of excessive masturbation? | Patient: I am always horny. I masturbate almost every day, sometimes more than once. Can this have a detrimental effect on my mental, physical, and sexual health? I normally feel fatigued and have trouble concentrating but I think that is due to the fact that I have not been working out like I normally am due to some injuries. Some studies online said that chronic masturbation can lead to chemical changed in the brain and physical effects such as the ones that I described above, but I don t know the validity of those studies. Enlighten me docs! Doctor: HelloThanks for query.You had been indulged in masturbation since many years and now facing problems related to general health .First of all there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body .All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smokingDr.Patil. | 197,985 |
Is spinal cord compression curable by physiotherapy? | Patient: Dear Sir, My father who is 68 years old. Recently we took a MRI Scan for his spinal chord. His L4-L5 disc(above the abdomen) has been compressed to 6.5 mm. Other L2,L3....are 12mm or 11mm in width. His height:168 cms, age:68, weight:69. Please advice me on this. Is it better to go for a surgery or its curable by Physiotherapy treatment. Thanks, Saravana Perumal Doctor: Hello, About 10% of cases with disc prolapse need surgery. The remaining can get better with conservative treatment- rest, medicines and physiotherapy. Avoid lifting heavy weights and forward bending. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sudhir Kumar | 139,378 |
What causes chest pain in a hypothyroid patient? | Patient: Hi Dr, My wife is having hypothyroid for 4 yrs, and she is taking tablets of 150 mg thyroxin daily. her weight is 97 Kg. For the past 2 weeks she is having chest pain, does this related to the thyroid, which can be controlled?. Please explain and suggest. Thanks. Doctor: hello, Thanks for using Healthcaremagic. I had gone through the data you have posted. common causes for chest pain are1) GERD: mostly epigastric burning sensation. avoid spicy foods, non veg, smoking or alcohol if any and take.tab.pantocid 40 mg 1-0-0 empty stomach for 5 days2) muskuloskeletal : chest anywhere but more of positional or pain localised to a point. you may need to take a muscle relaxant 3) cardiac: heart attack or stable angina or unsatble angina will have chest pain but along with that breathlessness. you need to consult cardiologist 4) lower respiratory tract infection. for whcih we need antibiotics and symptomatic treatment..chest ain as such is not related to thyroid..Hope this helps.. | 76,580 |
What could be the reason for dizziness with stomach pain along with head spinning and unable to breath while talking ? | Patient: Hi, i am 13 years old, and I have been a very healthy girl up until this week. In the past few days I haven t been able to stand up with out getting dizzy. Today at school, I had my head down on my desk and all of a sudden I could feel everything spinning. (but my eyes were closed) Then I tried to listen to my teacher and the noise was all jumbled up. When I ate lunch, I wanted to throw up, but I kept it down. I have stabbing pains in my upper stomach every so often. And every time I exhale, my rib cage seems to feel like it is getting pulled on very harshly. I got up from my seat and I fell and almost passed out, but just barely stayed awake. All my senses went away, but just for a couple seconds. Every time I get up and walk from class to class, my friends have to hold me up so I don t fall again. There is a lot more, but this has been the worst. My family can not afford going to to Hospital or anything. There are way too many other doctor bills from me pulling my Achilles tendon , and then forming tendonitis in it as well. Oh, one more big thing; I haven t been able to talk at all this past week because even saying a few words makes me become out of breath . Help? Doctor: Hi,thanks for query,you immediately needs medical attention.You seems to have some problem that needs to be diagnosed.the complaints are many and confusion so physical examination by doctor is must.I can understand your social and financial problem but it is better to take medical treatment at present,if neglected this can lead to more problems and at that time you will be forced to spend too much. wishing you good health. | 95,280 |
What treatment should I take to conceive since I get periods after a gap of 4 to 6 months ? | Patient: hi ds is suzan here i have period problem. my age is 23 and i have 1 year daughter now i want to conceive but problem is that i have missed periods .iget periods after 4 or 6 months .i had chequed all my test they are all fin. i dunt know where is the problem. Doctor: Hi Susan,i hope that you have been tested for PCOS,prolactenemia and hypothyroidism.Your ultrasound must be normal.Your hormone tests must be normal.If so,then you will need medicine to get your periods and then regularise your periods with oc pills and after that ovulation induction drugs.You pregnancy will have to be planned and you will need the help of a infertility specialist. | 6,674 |
Suggest remedy for low testosterone | Patient: i am a 16 year old height : 171 cm weight 52 kg and i hit puberty a year and a half back. but i have been unable to grow a beard and a mustache. moreover i do not last more than 1 minute while masturbating. could i be suffering from low testosterone? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pattern of fascial hair is solely genetically determined and it varies from person to person. In your case you are just sixteen years old and it will take few more years for complate growth of fascial hair. You can do a testosterone assay from a trusted lab just for reassurance. Hope I have answered your query. Let me know if I can assist you further. | 195,364 |
Chest heaviness, leg pain, stomach gas, dizziness. Stress test normal. Causes for symptoms? | Patient: i had a stress test done, came back normal, i still having heaviness in my chest . i woke up this morning my left leg was really painful , i have a lost of gas in my stomach , take acids med it help some what. when i walk around something i get dizzyiness. lightheadness. i just still not feeling well. What can i do to make this go away. Doctor: hi, welcome to healthcare magic Multiple somatic symptoms despite of normal investigations suggests possibility of 'somatization disorder'. In this disorder patients have multiple somatic symptoms like abdominal pain, gas, frequent bowel motions, chest pain, breathlessness without exertion, pain in limbs or joints etc. Repeated investigations donot suggest any illness. you should consult with a psychiatrist. Psychotherapy and antidepressant medicines are useful in this illness. best of luck | 213,206 |
Suggest treatment for rashes on the chest, neck, ears and face | Patient: I started out with what i thought was heat rash on my neck. got it under control but then sunburned my chest.ears, neck and face. I now have had a really red rash around my nech down my chest where i burned, my ears and face ar also starting to get a rash. Its crust like its oozing. very sore. and sore on my ears and face. it is severly red,swollen,tender and warm to the touch. its very painful Doctor: Hi, I would recommend you to apply topical steroid like Cortisone cream on the affected areas and take antihistaminic like tablet Cetirizine depending on the intensity of itching and soreness. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 13,442 |
Currently on metal braces, separated teeth. Can I switch to invisalign and what is the cost? | Patient: Hi, I have metal braces now and have had them on for about a year. My teeth are still a little seperated in some places and I know the treatment is not going to be done until about december but I am going into my senior year and I have prom coming up In 3 months. Is it possible to change from metal braces to invisalign? How much would it be? And how long would it take to get the invisalign? Doctor: Hi, Thanks for your query. Ideally, switching from metal braces to invisalign can be done any time. But i would suggest that you visit an orthodontist and get an examination done before deciding. The money difference between the two treatment is a lot, with invisalign being much more expensive. The treatment with invisalign ca begin very soon once the doctor has your measurements. Regards | 190,000 |
What causes ribs pressure with shortness of breath? | Patient: hello, for a while now i have been feeling like something is pressing against my ribs from the inside on the left lower side of my chest, when i lie on my front i can t feeling it and when i sit in certain positions also. recently i have been getting shortness of breathe when walking, doctors cant see me for a week but i am really worried. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Chest pressure, breathlessness are more suggestive of heart diseases.So better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases.Sometimes stress and anxiety can also cause similar symptoms.So avoid stress and tension, be relax and calm.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,901 |
Does abdominal pain on sneezing or coughing after a fall need medical attention? | Patient: 1st, sorry for my english! 2nd, I got hit(3-4 days ago) in the stomach near my hips. 1st days it was painfully to walk or change position (sit, or stand up). Today it aint that bad but the worst is when I sneeze or cough, its very very painfully so I have to hold myself to not do it.I don't have any visual sign. Is they something that could be dangerous? Thx for answering me and sorry for my english once again. Doctor: HIWell come to HCM No need to sorry for English you really narrated in good manner, if this is history of fall and having pain while sneezing or coughing if this is so, possibility of soft tissue swelling may be likely, and better to get done the x-ray of injured part for better diagnosis, till then pain can be managed with following medicines 1) Tab Acetaminophen 500 three times in day2) Tab Ibuprofen 400 mg three times in daythis would come around after few days if no serious injury is there, have a nice day | 88,236 |
What causes high heart rate while exercising? | Patient: I have a healthy history and have exercised briskly for years. I am now a 63 year old male who seems to have type 2 diabetes symptoms and when I walk or exercise after meals experience a RACING heart beat, clearly exceeding 175 to 200 beats per minute. Should I be concerned? Doctor: Hi ThereAfter going through your query I understand your concern.I would like to tell you that people with diabetes are at more risk to develop heart disease than a normal individual and heart rate of 175-200 is really high and is a point to be concerned and need further evaluation.It's advisable for you to get an ECG, Echocardiography and a Treadmill test done and personally consult a cardiologist with reports for further management.Hopefully this has answered your query.Kind Regards Dr Navneet Mahajan | 19,885 |
Suggest treatment for erection problems | Patient: Hi! im 19 years of age. i don't know my exact weight for now, but i guess I'm around 55 kg. I'm just having a problem recently when my girlfriend and I had our first sex & my penis didn't hardened totally much as it was before and it really made me worry. Please help me what's happening & what's the easiest possible remedy. thanks! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is erectile dysfunction. And it may due to performance anxiety. Just relax and be positive. Tablet Tadanafil alternate days at night and anxiolytics like Fluoxetine daily in the morning would improve the condition. Thanks Dr.Ilyas Patel MD | 195,659 |
Can medication cause delay in periods? | Patient: I am having hyponidd two tablets morn and two at night for the last one month.My periods this month is delayed by 6 days.It normally is bang on time.So I was wondering if that is the reason.I had severe pain in my back for four years as there was a cyst in my ovary.but in my last ultra sound it is not there. Doctor: Hi,It is used as supportive therapy for the management of the polycystic ovarian disease and helps to regulate the menstrual cycle. Sudden increase in physical activity, severe dieting, nutritional deficiency, thyroid disorders and extreme stress can also cause delayed periods.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | 83,536 |
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